Account Manager at Proclaim managing travel claims and client portfolios while delivering exceptional customer service. Collaborating with stakeholders and employing proactive claims strategies in a hybrid work environment.
Responsibilities
Ownership and management of a portfolio of claims
Early and effective coverage analysis
Assessment and justification of reserves in line with authority levels
Employ proactive early intervention strategies to reduce claims costs
Develop a strategy for claim resolution
Timely scheduling of independent medical examinations (IME)
Appointment of an investigator (where applicable)
Complete general administration for each claim file
Assessment of recovery prospects
Maintain client relationships to achieve superior results
Communicate effectively with claimants, clients, brokers, investigators, insurers and medical practitioners
Demonstrate effective negotiation and liaison techniques
Provide training to the insured for improved risk management
Report to and update relevant stakeholders regarding claims
Facilitate regular structured contact with clients
Competent use of systems and processes in claim management
Effective use of Propel and Microsoft Office applications
Understand and adhere to Proclaim processes and procedures
Support achievement of company goals and vision
Effective file and claim management to meet objectives and targets
Account retention and development of new business
Utilise marketing and networking opportunities
Support other team members as required
Requirements
Accuracy and attention to detail
Time management and prioritisation
Effective negotiation and advocacy
Strong verbal and written communication
Computer skills – usage of internal systems
Drafting documents, letter writing and typing ability
Ability to run and interpret reports
Solid analytical and dispute resolution ability
Relationship building
Presentation skills
Broad understanding of Accident & Health & Travel insurance policies
Understanding of the Insurance Contracts Act
Understanding of the Insurance Code of Practice and Privacy Code
Understanding the role of brokers and industry stakeholders
Interpretation of policy/clauses/exclusions
Solid understanding of client structure, fee structure and invoice process
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